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Talk to Gynecologist on Hormonal Medicine

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Asking For Self, Female, 35 Years old, lahore

I am 35 female. I am on thyroxine medicine which i take on daily basis. Can i take primolute-N to delay periods for 2 weeks along with thyroxine. Is it safe ?

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When considering the concurrent use of thyroxine and Primolut-N (norethisterone), it is important to assess potential interactions and safety, especially in the context of delaying menstruation. Here are some key considerations:

1. Drug Interactions:
- Thyroxine: This medication is used to treat hypothyroidism and requires careful dose management to maintain appropriate thyroid hormone levels.
- Primolut-N (Norethisterone): This is a synthetic form of progesterone used to delay menstruation, among other indications.

2. Potential Interactions:
- There is no direct interaction between thyroxine and norethisterone that typically contraindicates their concurrent use. However, hormonal changes induced by norethisterone could theoretically affect thyroid function tests, potentially altering the absorption or metabolism of thyroxine.

3. Monitoring:
- If you decide to take Primolut-N, it is advisable to monitor your thyroid function closely, especially if you notice any symptoms of hypothyroidism or hyperthyroidism. Regular monitoring of TSH and free T4 levels can help ensure that your thyroid function remains stable.

4. Safety Considerations:
- Health Status: Ensure there are no contraindications for using norethisterone, such as a history of thromboembolic disorders, liver disease, or certain types of cancers.
- Side Effects: Be aware of potential side effects of norethisterone, such as changes in mood, headaches, or menstrual irregularities once you stop taking it.

5. Consultation:
- It is crucial to discuss with your healthcare provider before starting Primolut-N. They can provide personalized advice based on your medical history, current medications, and overall health status.

6. General Advice:
- Ensure you continue taking thyroxine as prescribed, ideally on an empty stomach and separated from other medications to optimize absorption.
- Inform your healthcare provider about all medications and supplements you are taking to avoid potential interactions.

In summary, while there is no direct contraindication to using both medications, close monitoring and consultation with your healthcare provider are recommended to ensure safety and efficacy.


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